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After 7 days of panting, the boy’s lungs broke …

One month ago, a 6 -year -old boy was admitted to the hospital for 7 days because he repeatedly coughing with him.

This is a “old sickness”, and more precisely, parents are “old sickness”, because they are rarely seen during the consultation. Parents say that their children are panting. This time I took the medicine for 4-5 days in the clinic and found that the child did not see good before taking the clinic.

As soon as the child enters the clinic, he can hear the sound of the gauge without a audio. The skin in the chest area is inhaled with inhalation. The child’s speech was not continuous, and his body was sitting on the stool forward.

The doctor told the family that the child was an acute attack (severe) of asthma and needed hospitalization. But the parents were “busy at home, not to care about it, etc.”, and finally, under the persuasion of the outpatient doctor, they were embarrassed to stay in the hospital.

After hospitalization, oxygen, atomization, static hormone and other treatment, the child’s breathing improves slightly. But at night, the child suddenly had a severe cough, could not lie flat, and said his throat.

After listening to the lungs on duty, the breath felt a bit low, and the skin of the chest was touched. Hurry to make a bed next to the bed and confirm that it is pneumothorax.

1 Asthma can cause pneumothorax? Intersection

In addition, what other complications?

Many parents do not give their children a regular treatment of asthma. They do not pay attention to their children, but do not realize the consequences of repeated occurrence of asthma.

In addition to pneumothorax, asthma may also cause the following complications:

(1) Sudden death: Sudden death is the most serious complications of bronchial asthma, and there are often no signal symptoms. For example, the well -known singer Teresa Teng is because of this disease.

(2) Respiratory failure: Due to insufficient ventilation, infection, treatment and medication, it can induce respiratory failure.

(3) The lungs are not tension: the bronchial asthma occurs, the secretion is increased, the breath of the mouth will increase the viscosity of the sputum, and the bronchial spasm will cause the mucus embolism to block the airway and the lungs are not tension.

(4) Water, electrolyte, and acid -base imbalance: Due to the hypoxia, excessive breathing, respiratory muscles during bronchial asthma, excessive exercise load, increasing lactic acid production, insufficient intake, breathing, sweating, dehydration, heart and liver, especially heart and liver, especially It is the cause of breathing and renal insufficiency, the use of large doses of corticosteroids and β -stimulants, long -term use of aminophylline, excessive alkali tonic, etc., often concurrent water, electrolyte and acid -alkali imbalance.

(5) Inadequate dysfunction and multiple organ failure: Due to severe hypoxia, infection, imbalance of acid -base imbalances, and toxic and side effects of drugs, critical severe asthma is often susceptible to dysfunction such as dysfunction such as incomplete or even failure.

In addition, asthma repeatedly developed lung function, which also greatly increased the probability of developing into chronic obstructive pulmonary disease in adulthood.

Seeing the above harm, some parents are not calm: our children are asthma when they have a cold? Will it develop into asthma?

The following clues help to remind asthma:

(1) More frequent breathing more than once a month;

(2) Cough or breathing induced by activities;

(3) Intermittent night cough caused by non -virus infection;

(4) The symptoms of asthma lasted until 3 years old;

(5) Anti -asthma treatment is effective, but recur after the drug.

Studies have shown that children with asthma have experienced changes in the pathological changes of asthma in school age, and as they increase age, the risk of asthma treatment will increase. This is also the basis for early attention and intervention of asthma diseases.

2 Answing disease, can it not be atomized without asthma?

Many parents and even many doctors do n’t feel gas, they do n’t have to atomize anymore. After all, it is inhaled with hormones, and long -term atomization is not very good.

In fact, the answer is no! Even if you don’t breathe, you need to be atomization, which is also a starting point to reduce the recurrence of breathing.

Let’s see how long the following diseases need atomization:

(1) Circles bronchitis: Especially for children with allergic constitution and family allergic diseases, the Buddine suspension of 0.5 mg/time, 2 times/d. In the future, the condition will gradually decrease, and it is recommended that the entire atomization inhalation treatment time is not less than 3 weeks.

(2) Asthma bronchitis: Without considering age factors, children with asthma prediction index (API) are negative children. The dose of Bu Di Naid is 0.25mg/d), and the recommended course is 4-8 weeks. For API-positive high-risk children, the dose starts with 1mg/d, and gradually reduces the amount. The treatment plan is adjusted every 1-3 months until the minimum effective maintenance amount (Putidal dose 0.25mg/d). Give 3, 6, 9 or 12 months as appropriate.

(3) Anti-septic bronchitis: Reference usage of inhalation glucocorticoids (ICS): Buddine Mixed Suspension (0.5-1.0mg/time, 2 times/d) atomization inhalation, or other inhalation dosage forms, or other inhalation dosage forms, or other inhalation dosage forms, or other inhalation dosage forms, or other inhalation dosage forms, Such as quantitative pressure fog agent, dry powder inhalation agent, etc., the specific treatment should be determined according to the changes in the disease and the regular assessment results.

(4) Cough mutant asthma: The Buddine mixed suspension is given 0.5-1.0mg/time, 2 times/d, and not less than 8 weeks according to the severity of its cough.

(5) Cough after infection (PIC): The recommended dose of PIC mixed suspension for PIC is 0.5-1.0mg/time, and the frequency of use depends on the condition. The treatment course is 2-3 weeks.

(6) Eosinophilic bronchitis: ICS treatment is preferred, such as Putidal atomized solution 0.5-1.0 mg/time, 2 times/d, and the duration is not less than 8 weeks. (7) Allergic cough: 1mg/time of Budi Nedid suspension, 2 times/d, 5 days for a course of treatment, a total of 1-2 courses, which can significantly improve the symptoms of cough. If ICS treatment is effective, it is recommended to treat Bu Di Need, 0.5-1.0mg/time, 2 times/d, and lasts more than 4 weeks.

(8) Pneumoniacoplasma pneumonia (MMP): For children in the acute stage of MPP, the Budi Neid suspension is 0.5-1.0mg/time. week. For children in the recovery period after infection, if there is a high-reactivity or a small airway lesion, or the lungs are not fully recovered, the Budi Neid suspension is inhaled, 0.5-1.0mg/d, and continuously use 1- After 3 months, review.

(9) Acute laryngeal bronchitis: The initial dose of the Budi Needi suspension is 2mg/time. After that, it can be inhaled once every 12 hours and uses up to 4 times.

(10) Passing bronchial lung development: There are studies using atomization inhalation of 0.5 mg/time in the mixed suspension of Bu Di, 2 times/d, for a total of 14 days.

3 What should children pay attention to?

(1) Avoid allergens: including food intrinsicity and inhalation. Once found and confirmed that a certain food does stimulate asthma attacks, you should try to avoid food.

(2) Improve resistance: try to avoid colds as much as possible to avoid causing breathing; avoid second -hand smoke; wear masks when you go out, try to avoid inhaling the exhaust of the car.

(3) Pay attention to the treatment of common diseases: such as allergic rhinitis.

references:

[1] Xu Renhe. The complications of bronchial asthma [J]. New Medicine Magazine, 1993, (7): 348-349.

<!-2392: Respiratory terminal page

[2] Shen Kunling, Deng Li, Li Yunzhu, Li Changchong, Liu Enmei, Chen Qiang, Chen Yuzhi, Chen Zhimin, Chen Aihuan, Zhang Hao, He Qingnan, Shang Yunxiao, Yu Shanchang, Hong Jianguo, Zhao Deyu, Sheng Jinyun, Yin Yong, Sugar Sugar. Sugar. Cortical hormone atomization inhalation therapy in the expert consensus of pediatric applications (revised edition in 2014) [J]. Clinical pediatric magazine, 2014, 32 (06): 504-511.

[3] Chinese Medical Association’s perverted reaction branch respiratory allergy group (chip), Chinese Medical Association’s respiratory disease branches, asthma. 2019, Volume 58 (9): 636-655.

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